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Home My WebLink About97-6494 BUILDING PERMIT N! Permit CITY OF ZEPHYRHILLS (813) 788-6611 6494 /3 Date .9 -:;lb -1'7 G ELECTRICAL PLUMBING P,"perty owne' ~~1}:; ~ Job Address: '- ~ 93 'I MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcel 1.0. # Zoning: Energy Code: Description of wor~ d ~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. .8-3-9 DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee~' c:rD Signature ~1Vlfu\A..G<t- ~ Company Address Telephone# Valuation or Contract Price ~ L~ 516. tTV City License Registration # ""-- <: :> State Certified License# Jlt _~I ,(1 ~L BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT #'-2\0'6 $3l)jcro OWNER'S NAME "&ra c1"lY'l I \ f'e..V\ ~ PHONE BI:'\ 11 15. 07B7 , OWNER'S ADDRESS 5~~.l\- l=Orn.t 5c:,~~ Fl')r~~+- V . \\a~ 'fi ~rot ~ 1'" L~V\e- J Zeph\!rh'\\\~,. f=L \~V\'t' Z.:t'~h'lrh'. \\....\ ~L JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.' }c)'LiD.? 1.1)\\0. OODDO.QDCVl (OBTAIN FROM PROPERTY TAX NOTICE) ~{. r20~ WORK PROPOSED:_New Construction _Addition _Alteration ~Repair ____Install _Sign --"ove _Deaolish PROPOSED USE: ~ngle Faaily _KIF _' of Units _K/H _eo..ercial _Indust. _Swia. Pool _Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: ~VI\~~ \oQ. R.o'. 'R nk G S3 2/::, s.c.l <,.) BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ Z.?:A-(".Si Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _KECHAlUCAL $ Valuation of Kechanical Installation _PLUMBING GAS ~ ROOFING SPECIALTY TYPE OF COBSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BUILDER COMPANY State Cert. or Regist. . City License Registration . ****************************************** Signature ELECTRICIAN COMPANY State Cert. or Regist. t City License Registration t ****************************************** SilmAture PLUMBER COMPANY State Cert. or Regist. , City License Registration t ****************************************** Signature MECHANICAL COMPANY State Cert. or Regist. t City License Registration , *************~**************************** Signature Signature COMPANY_rY\\ \S:w- (D~lACH OV\, \ 'M- , State Cert. .0J:.. Regbt!. #I ~~ {)OS~2..\'S City License Registration t ~I ****************************************** . OTHF.R APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be ~re restrictive than City regulations. The undersigned assu.es responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor IIiIY be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Deparblent, (813) 788-6611. Further~re, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible fot the work. " If 'the contractor wishes you to sign as contractor that aay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOIeowner's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsllEr Affairs. If the applicant is sOlleone other than the "owner", I certify that I have obtained a copy of the above described docu.ent and prOllise in good faith to deliver it to the "owner" prior to co..encelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveIDIeDtal agencies aay apply to the intended wort, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: * DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treablent * Southwest Florida Water Managelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * Deparblent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks * US EnvirODlental Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A, etc. ", it is understood tbat a drainage plan addressing a "cOllpensating volu.e" will be sublitted whicb is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. A perlit issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOll thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becOle invalid unless the wort authorized by such pertit is cottenced within six ~ntbs of issuance, or if work authorized by the pertit is suspended or abandoned for a period of six IOnths after the till! the work is cOllenced. One 90 day extension of tile, lay be allowed for the perlit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMEIft'S TO YOUR PROPERTY. IF YOU IN'l'END TO OBTAIN FIMAlICING, CONSULT WITH YOUR LENDIR OR All AnORNIY BEFORE RECORDIMG YOUR MO'I'ICE OF COMMENCEMENT. JOBS UNDER $2,500 1M VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ~~ ~//(~- 810011lllE: OOHII 011 AGEIl! ,. . -.. . 8100TURll : CIIIITIlICTOII STATE OF FLORIDA coum OF ~~U:> The foregoing instrument was aCknowledged before me this ?14 ~ ~, 19~ by V~~ \. fflllhM who is personally known to me or who has produced "1 ~ as identificati n and who take an oath. STATE OF FLORIDA COUNTY OF l~~c..b The foregoing instrument was acknowledged before me this ~ hJo , 19ID- by Vak..Q.. Ml l-n,Y\ who is personally known to me or who has produced J.j ~ as identificatio and who -ctilIi,ldid not take an oath. - (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC . OU\llf\ A.. Lovm '. ~~..(. Notary Pu;lic, Zlale of Flon~a :; ~ My comm. ey.pirp.~}~ly 28, 2000 I" n I r~mm. No. (",)12916 (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC OliVIA A. LOvm .. . .~''''- "FI ';j _yo ~ Notary Puidlic, "late of on..a ., -: My comm. expires July 28, 2000 % n G0mm. No. CC572916 r--;?< 'roposal Page No. of 2 ~ Page~ Member of the Florida Roofing and Sheet Metal Association @ State Certified Builder #CBC023221 State Certified Roofer #CCC051562 State Registered Roofer #RC0055215 U.S. Intec Certified Platinum Installer #5204 MilBar Construction, Inc. Rooting. Concrete. Commercial. Residential 15911 US Hwy. 301 North. Dade City, Florida 33525 C>c 904/567-6047 8001562-2393 FAX: 904/567-4454 PROPOSAL SUBMITTED TO Irene Braden PHONE 813/715-0787 DATE 08/23/96 CITY, STATE and ZIP CODE Zephyrhilis, FL ARCHITECT JOB NAME Braden Residence JOB LOCATION 5934 Forest Lane Iv- 2(" 2( . I J u -_~()O,-' STREET 5934 Forest Lane (.;Il.) ~:;L) DATE OF PLANS r-:r "" , -' VI) I A ' JOB PHONE Zephyrhills, FL / I-~'(' We hereby submit specifications and estimates for: RE-RCXJF - Shingles 1 .HH~HH~~f.'H~~H~~'::l~<3.:~:YH~~~' roofin.:5.J.L.~~ean up work area daily. 2. Provide and install new 15 lb. saturated felt paper. 3. Provide and install new GAF "Sentinel" 20 year fiberglass shingles; owner to choose ................H...Hoolor~ ........oo....shirigles....MveHaH20....yearHwarrantyH.oriHlaoormand"materiaIs~ .................... ..... .............. "'H.. . ....4~.... ... "ReplacemaII"aamage(rflashii1gs.m'(valley'~""veriE'; ...or....any....waII...flashirigl..~....... '5'~'" .........RepIace...theHexistirigmriqgemHvent..with.m40mT~f~. "of.mhewmpre::fihishoo' alumifiumridgevent.~.... "'5~ .........mprovidEi..arid....iriSta:lT...riewHIeiidHbOOEsformthe..pIiliiibirigmVehts'~ 6 . ......Re::\isemHieHHEiXisEiri<;fHbroWriH.alUiiUriilifi..eavedi'ip'f.mmHre::Use.mthe'Hexistifigmalurninummpowermvent~mmHm T~ mHHHHAriymmHiotterimH6iaariiagooHHWOOd HH'(roof Hdeck~HHHHfascia; Hmbrmtrim)mHwillmbemreplaced mmonmHa cost-plus basis above and beyond the contract price. 8. MilBar Construction, Inc. to provide 5 year warranty on workmanship; exclusions: .... .........m..HHst6ririm.maamage.;HHHwoikm.H6i "dariiage..mdohemHby' HotherEf~mtreeH'aarnage;' ..artd!bf'Hmstructural..Hdamage' to roof deck. 9. Owner to provide access for delivery trucks to allow roof loading/unloading for the m"HH" u "entiie "roof"area~ "....m.m...muHm..m ......uu....... ....u........uu uuu..... lilt 'rOpOst hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: See page two. Payment to be made as follows: dollars ($ ). All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Workman's Compensation Insurance. Authorized Signature Note: This proposal may be withdrawn by us if not accepted within 30 Acceptance of ~roposal ~ The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Signature ~~ Date of Acceptance: c:l- /.-3- /7 Signature U.S. Intee Certified Platinum Installer #5204 'roposal 16fI MilBar Construction, Inc. . Roofing. Concrete. Commercial. Residential 15911 US Hwy. 301 North. Dade City, Florida 33525 <::>c 904/567.6047 8001562-2393 FAX: 904/567-4454 Page No. 2 of 2 . Pages. 11 Member of the Florida Roofing and Sheet Metal Association State Certified Builder #CBC023221 State Certified Roofer #CCC051562 State Registered Roofer #RC0055215 PROPOSAL SUBMITTED TO Irene Braden STREET PHONE DATE 813/715-0787 JOB NAME 08/23/96 5934 FOrest Lane CITY, STATE and ZIP CODE Zephyrhills, FL ARCHITECT Braden Residence JOB LOCATION 5934 Forest Lane DATE OF PLANS JOB PHONE Ze h hills FL We hereby submit specifications and estimates for: 1 0 . MilBaJ:wG.9.p.:~!:.~~t..!<?l!.,u ..w~P.:~.~w. .t.(?w.p:.::<?y!g~u.w.~~~!uuw:J:.!.~:i.:!:i.:t.yw and uuu~<::>:r;~~:J:" I s~P::I!!:'.~!:~<::>~w Insurance ($1,000,000 limit) and re-rcx>fing pennit. OPTIrns: A. proviCie..w'.and winstarr .wnewu..u.Ww.wwllTlmbeiTinewwu2S"wu.w2S....u..year uUTaffiiriaEed ,w.fiirigus=resIsEiiriF.. ....................u.~~!:l.~onal u~.:i.:~.:r::9.!~!?!:l.u..~J.:1!.J::I:9..!~.!:l.rw.~....~?!.>.~w~..~~.w!:<?w!:J::1.~w..~I!!::r;c:l~!:.. p:r;:i.:.c:::e. B. Provide and install new GAP "Timberline" 30 year laminated fungus-resistant dimensional . ......fIl:iergI.af5's.....shlrigles..i.....idf....$.S69.:..,..j....Eo.....EhEi....oont.ract....prlc.e.:......................................................................--.................... .................................. . pmrlirien..4(ryearPIamInaEea..fiirigus=resIst:ariEudiriiWi~i~lm ... ..<::>mu~~..p~.<::>J::I:!:Ec:l~~m.P.:r;:i.:~.~~m.........~~.~.~.....m~~~~.....fl:l~~:~~.............. D. .mp..::>.~.!.....!=!1.~....~!.~.~h!.~9.....P~t.....:t::h~m..~:r;<?~!:..........~..:t::h.~u...<:l.lumim]fl\wPE~.~.....<?~!Y...L..~...~.~P~~P~.~.~P..1:?.....~~... <=:'?I!~.act price. ....................1...... ........................................................................................ ................................................... ..................1) ~.~-fj;_L4d-__!&_-~~~~~~-~-~~~~ me 'ropOBt hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: One thousand six hundred ninety-three and 47/100-------------------- Payment to be made as follows: Due upon canpletion. dollars ($ 1,693.47 C.S'3.ro ). All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary Insurance. Our workers are fully covered by Workman's Compensation Insurance. Authorized Signature Note: This proposal may be withdrawn by us if not accepted within 30 Acceptance of ~roposal- The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Signature Date of Acceptance: /1"/3-77 Signature ~~/ ~~